Southern College of Optometry

NPI #1851384986 in Memphis, Tennessee

Provider Information

NPI Number: 1851384986
Entity Type: Organization
Organization Name: Southern College of Optometry
Primary Specialty: Optometrist
Enumeration Date: Aug 24, 2005
Last Updated: Jul 19, 2013

Practice Location

Address: 1225 MADISON AVE
City: Memphis
State: Tennessee
ZIP Code: 38104-2211
Phone: (901) 722-3250

Authorized Official

Name: JAMES E VENABLE, OD
Title: VICE PRESIDENT OF CLINICAL OP
Phone: (901) 722-3324

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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